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20th Annual State-of-the-Art Arrhythmia Symposium: Arrhythmia Diagnosis & Treatment Standards 2012


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20th Annual State-of-the-Art Arrhythmia Symposium: Arrhythmia Diagnosis & Treatment Standards 2012

  1. 1. Twentieth AnnualState-of-the-ArtArrhythmia SymposiumArrhythmia Diagnosis & Treatment Standards 2012and Leonard N. Horowitz, MDMemorial Lecture A CME-CERTIFIED COURSE Monday, September 10, 2012 Hyatt Regency Philadelphia at Penn’s Landing 201 South Christopher Columbus Blvd Philadelphia, PA 19106 Co-sponsored with:
  2. 2. The Department of Medicine, Division of Cardiology, Electrophysiology Program At the University of Pennsylvania Health System PresentsThis program is designed to provide electrophysiologists, cardiologists,internists, and associated professionals with state-of-the-art informationon invasive and non-invasive electrocardiographic and electrophysiologictools used in the diagnosis, evaluation, and treatment of cardiac rhythmdisorders. Attendees of the symposium will develop an understanding ofthe correct approach to the patients with atrial fibrillation, other atrialand ventricular tachycardias, and risk factors for sudden death.Learning ObjectivesUpon completion of this activity, participants should be able to:I Define the role of long-term anticoagulation in patients with various arrhythmia problemsI Identify patients with genetic arrhythmia syndromesI Discuss the role of ablation for patients with atrial fibrillation including current recommendations and expected outcomesI Identify common mistakes in ECG interpretationI Discuss the differences in type, dose, and use of the various oral anticoagulantsI Identify the role arrhythmias play in cardiac dysfunctionI Identify optimum management of ventricular tachycardiaI Discuss new techniques and technologies used during complex EP device and ablation casesHosting DepartmentThe Twentieth Annual State-of-the-Art Arrhythmia Symposiumis hosted by the Department of Medicine, Division of Cardiology,Electrophysiology Section, University of Pennsylvania Health System.AccreditationPerelman School of Medicine at the University of Pennsylvaniais accredited by the Accreditation Council for ContinuingMedical Education (ACCME) to provide continuing medicaleducation for physicians.
  3. 3. Twentieth Annual State-of-the-Art Arrhythmia Symposium Arrhythmia Diagnosis & Treatment Standards 2012 and Leonard N. Horowitz, MD Memorial Lecture A CME-certified Course Monday, September 10, 2012 Hyatt Regency at Penn’s Landing 201 South Christopher Columbus Blvd. Philadelphia, PA 19106 215-928-1234The Office of Human Research, Perelman School of Medicine at theUniversity of Pennsylvania is an approved provider of continuingeducation by the Pennsylvania State Nurses Association, an accreditedapprover by the American Nurses Credentialing Center’s Commissionon Accreditation.Designation of CreditPerelman School of Medicine at the University of Pennsylvaniadesignates this live activity for a maximum of 7.5 AMA PRA Category1 CreditsTM. Physicians should claim only the credit commensuratewith the extent of their participation in the activity.PA State Nurses Association: This activity is approved for7.5 contact hours.AAPA: AAPA accepts certificates of participation for educationalactivities certified for Category 1 credit from AOACCME, Prescribedcredit from AAFP, and AMA PRA Category 1 CreditTM fromorganizations accredited by ACCME or a recognized state medicalsociety. Physician assistants may receive a maximum of 7.5 hoursof Category 1 Credit for completing this program.
  4. 4. Registration FeesThe registration fees for the Twentieth Annual State-of-the-ArtArrhythmia Symposium are $120 for physicians, $120 for biomedical,pharmaceutical or medical device industry employees, and $100 forall other allied health professionals, residents and fellows. UPHSEmployees, Faculty, Staff and Students will receive a special courserate. A Penn ID is required to receive the special rate. The registrationfee includes tuition, course syllabus, parking, continental breakfast,breaks, lunch, and the reception following the symposium.Registration forms may be mailed or faxed to the Office of ContinuingMedical Education with payment or you may register on-line Please seethe bottom of the registration form for contact information.All registrations will be confirmed in writing if the necessary formand fee are received by the Office of Continuing Medical Educationby August 27, 2012.Cancellation and Refund PolicyIn order to process refunds for course withdrawals, cancellationsmust be received in writing by August 27, 2012 (subject to a$15 service charge). No refunds will be issued thereafter.The University reserves the right to cancel or postpone any coursedue to unforeseen circumstances. In the event of cancellation orpostponement, the University will refund registration fees but is notresponsible for related costs or expenses to participants, includingcancellation fees assessed by hotels, airlines, and travel agencies.Services for the Disabled If special arrangements are required for an individual with a disability to attend thismeeting, please contact the Office of Continuing Medical Education no later than August 27, 2012,at 215-898-6400.Nondiscrimination Statement The University of Pennsylvania values diversity and seeks talented students,faculty, and staff from diverse backgrounds. The University of Pennsylvania does not discriminate on the basis of race,sex, sexual orientation, gender identity, religion, color, national or ethnic origin, age, disability, or status as a Vietnam EraVeteran or disabled veteran in the administration of educational policies, programs or activities; admissions policies;scholarship and loan awards; athletic, or other University administered programs or employment. Questions or complaintsregarding this policy should be directed to Executive Director, Office of Affirmative Action and Equal OpportunityPrograms, 3600 Chestnut Street, Sansom Place East Suite 228, Philadelphia PA 19104-6106 or 215-898-6993 (Voice) or215-898-7803 (TDD).
  5. 5. Meeting Location and ParkingThe Twentieth Annual State-of-the-Art Arrhythmia Symposium will take placeat the Hyatt Regency Philadelphia at Penn’s Landing, 201 South ChristopherColumbus Boulevard, Philadelphia, PA. The hotel’s main number is215-928-1234. If you need overnight reservations, please call 1-800-233-1234.Please visit the Hyatt’s website at for directionsand additional information.The Hyatt parking garage is located just past the hotel’s main entrance.The parking fee is included in your registration fee. Your parking in the Hyattgarage will be validated at the registration desk on the day of the conference.For information on additional overnight accommodations or what todo or see while you’re in Philadelphia, please go to School of Medicine at the University of Pennsylvania, Office ofContinuing Medical Education, adheres to the ACCME Standards forCommercial Support. Faculty disclosure information will be made available inthe conference materials and syllabi. Faculty members are also expected todisclose to participants any discussions of off-label and/or investigational usesof pharmaceutical products within their presentations.Course Director Stavros Mountantonakis, MDFrancis Marchlinski, MD Assistant Professor of MedicineProfessor of Medicine Hofstra North Shore-LIJ SchoolDirector, Cardiac Electrophysiology of MedicineUniversity of Pennsylvania ElectrophysiologistHealth System, Philadelphia, PA Department of Cardiology North Shore University HospitalGuest Faculty Manhasset, NYJohn Camm, MDBHF Professor of Clinical Cardiology Wendy Tzou, MDSt. George’s University of London Assistant Professor of MedicineProfessor of Cardiac Electrophysiology University of Colorado-DenverImperial University, London Aurora, COUnited Kingdom Jeffrey Weitz, MDG. Neal Kay, MD Professor of Medicine & BiochemistryProfessor of Medicine McMaster UniversityUniversity of Alabama at Birmingham HSFO/J.F. Mustard Chair inBirmingham, AL Cardiovascular Research Executive Director, Thrombosis andPeter Leong-Sit, MD, MSc(Epi) Atherosclerosis Research InstituteAssistant Professor of Medicine Hamilton General Hospital CampusDivision of Cardiology Hamilton, Ontario, CanadaUniversity of Western OntarioLondon, Ontario, Canada
  6. 6. FacultyAll faculty are part of thePerelman School of Medicineat the University of PennsylvaniaPhiladelphia, PARupa Bala, MDAssistant Professor of MedicineCardiac ElectrophysiologyDavid Callans, MDProfessor of MedicineHospital of the University of PennsylvaniaJoshua Cooper, MD Tara Parham, CRNPAssociate Professor of Medicine Nurse PractitionerCardiac Electrophysiology Cardiac ElectrophysiologyRajat Deo, MD Rutuke Patel, PA-CAssistant Professor of Medicine Physician AssistantCardiac Electrophysiology Cardiac ElectrophysiologySanjay Dixit, MD Michael Riley, MD, PhDAssociate Professor of Medicine Assistant Professor of MedicineDirector, Electrophysiology Laboratory Cardiac ElectrophysiologyPhiladelphia VA Medical Center Gerilynn Schott, CRNPAndrew Epstein, MD Nurse PractitionerProfessor of Medicine Cardiac ElectrophysiologyChief, Cardiology SectionPhiladelphia VA Medical Center Gregory Supple, MD Assistant Professor of MedicineDavid Frankel, MD Cardiac ElectrophysiologyAssistant Professor of MedicineCardiac Electrophysiology Cory Tschabrunn, CEPS Certified Electrophysiology SpecialistFermin Garcia, MDAssistant Professor of Medicine Erica Zado, PA-CCardiac Electrophysiology Physician Assistant Cardiac ElectrophysiologyMathew Hutchinson, MDAssistant Professor of MedicineCardiac ElectrophysiologyDavid Lin, MDAssistant Professor of MedicineCardiac ElectrophysiologyMonica Pammer, PA-CPhysician AssistantCardiac Electrophysiology
  7. 7. Twentieth Annual State-of-the-Art Arrhythmia Symposium Monday, September 10, 20127:15 – 7:45 AMRegistration and Continental BreakfastGeneral Cardiology General CardiologyMorning Session – 7:45 AM – 12:00 PM Afternoon Session – 1:00 – 2:40 PMModerator: Francis Marchlinski, MD Moderator: David Callans, MD7:45 – 8:00 AM 1:00 – 1:25 PMWelcome & Introduction Imaging in Arrhythmia ManagementFrancis Marchlinski, MD Mathew Hutchinson, MD • MR predictors for AF ablation outcome8:00 – 8:30 AM • Ventricular scar burden analysisIdentifying Reversible Nonischemic • Intracardiac echo (ICE) to identifyCardiomyopathy – Lessons Learned From LAA thrombusthe EP lab • ICE to identify epicardial substrateFrancis Marchlinski, MD• Common arrhythmia precipitants 1:30 – 1:55 PM• Role of imaging Ablation for Ventricular Tachycardia: Update• Unipolar and bipolar voltage mapping David Callans, MD• Predictors of reversibility • Eliminating PVCs8:35 – 9:05 AM • Epicardial ablation“Silent” AF? • Preventing ICD shocksJohn Camm, MD • Surgical VT ablation• Stroke risk• Threshold for anticoagulation 2:00 – 2:40 PM• AF detection standards Panel Discussion: Exercise and Arrhythmias – From Benign to Malignant9:10 – 9:40 AM Moderator: David Callans MDNovel Anticoagulants: Lessons Learned Panel Members: Neal Kay, MD,From Trial Data and Clinical ExperienceJeffrey Weitz, MD Sanjay Dixit, MD, John Camm, MD,• ARISTOTLE, RE-LY and ROCKET-AF Trials Joshua Cooper, MD• Post trial clinical observations • How to assess chronotropic competence• Clinical considerations • Optimal programming of pacemakers for activity9:45 – 10:30 AM • Avoiding unnecessary ICD shocksPanel Discussion: • Catecholaminergic polymorphic VTAnticoagulants in Arrhythmia ManagementModerator: Francis Marchlinski, MD 2:40 – 3:00 PM BreakPanel members: John Camm, MD,Jeffrey Weitz, MD, Neal Kay, MD,Michael Riley, MD, PhD, Gregory Supple, MD General Cardiology• Periprocedure anticoagulation concerns Afternoon Session – 3:00 – 5:00 PM• Post AF ablation anticoagulation Moderator: Sanjay Dixit, MD• LV aneurysm, LV non-compaction stroke risk• Thrombus on device leads10:30 – 11:00 AM 3:00 – 3:30 PMBreak/Visit Exhibits New Pacemaker and ICD Implantation Guidelines Andrew Epstein, MD11:00 AM – 12:00 PM • Important changes • Clinical implicationsLeonard N. Horowitz MD • Are ICDs overutilized?Memorial LectureNew AF Guidelines 3:35 – 4:00 PM Catheter Ablation of Atrial FibrillationJohn Camm, MD Fermin Garcia, MD • Overview of technique12:00 – 1:00 PM Lunch • Acute and long-term results • Patient selection • Techniques for further improving outcome
  8. 8. 4:05 – 5:00 PM Advanced EPPanel Discussion – Avoiding Common Mistakes Made in Afternoon Session – 1:00 – 5:00 PMArrhythmia Diagnosis/Management Moderator: Francis Marchlinski, MDModerator: Sanjay Dixit, MDPanel Members: David Callans, MD,David Lin, MD, David Frankel, MD, 1:00 – 1:40 PMRupa Bala, MD Outflow Tract Anatomy and VT Ablation• Identifying subtle forms of preexcitation Neal Kay, MD• Recognizing conduction block during • Important anatomic relationships acute infarction • Energy delivery parameters• Avoiding common dangerous • Coronary venous anatomy drug/drug interactions 1:45 – 2:10 PM• Goals for rate control during AF LA Flutter Post AF Ablation – Prerecorded Case Fermin Garcia, MDAssociated Professional – 1:00 – 2:40 PM • Need to know informationAfternoon Breakout Session • Surface ECG cluesModerator – Tara Parham, CRNP • Four site entrainment • Multi-electrode mapping1:00 – 1:45 PM 2:15 – 2:40 PMHow to Use All the Detailed Information Mapping and Ablation of VT in ARVC –From Devices Prerecorded CaseRutuke Patel, PA-C Francis Marchlinski, MD• Stored electrograms • Atypical distribution of low voltage• Rate histograms and other measures • Epicardial access and mapping of arrhythmia burden • Endpoints and outcome• Heart failure indicators 2:40 – 3:00 PM Break• Role of home monitoring 3:00 – 3:30 PM1:50 – 2:40 PM Complicated Device Extraction –Management of Acute Complications During Prerecorded Caseand Immediately After EP Procedures Joshua Cooper, MDCory Tschabrunn, CEPS • Preparation/team approach• Acute tamponade • Technique• Acute LV dysfunction • Overcoming risks• Anaphylaxis 3:35 – 4:30 PM• Groin complications Panel Discussion – Complicated Ablation Cases2:40 – 3:00 PM Break Moderator: Francis Marchlinski, MD Commentator: Neal Kay, MD Panel Members: Wendy Tzou MD,Associated Professional Stavros Mountantonakis, MD,Afternoon Breakout Session – 3:00 – 5:00 PM Peter Leong-Sit, MDModerator – Monica Pammer, PA-C 4:30 – 5:00 PM Epicardial Access/Ablation –3:00 – 3:50 PM Prerecorded CaseGenetically Determined Arrhythmia Disorders Michael Riley, MD, PhDRajat Deo, MD • Indications• When to do genetic testing • Inferior versus anterior approach• Role of the ECG as a screening tool • Electrogram targets• Role of exercise testing• Indications for ICD implantation 5:00 PM Adjourn• What to do with family members 5:00 – 6:00 PM Reception3:55 – 5:00 PMCommon Mistakes in ECG Interpretation –Audience ParticipationGerilynn Schott, CRNP, Erica Zado PA-C• AV block in the AV node or His bundle?• Distinguishing atrial flutter from atrial fibrillation• VT diagnosed as SVT
  9. 9. CME Regist r a t io n Fo r mTwentieth Annual State-of-the-Art Arrhythmia SymposiumARRHYTHMIA DIAGNOSIS AND TREATMENT 2012 ANDLEONARD N. HOROWITZ, MD MEMORIAL LECTUREMonday, September 10, 2012To register online for the course please visit www.penncmeonline.comand click on CME ActivitiesYou May Also Mail or Fax Payment and Registration Information to:Conference Coordinator, Perelman School of Medicine at the University of PennsylvaniaOffice of Continuing Medical Education333 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104-6021Phone: 215-898-6400 or 215-898-8005; Fax: PRINT OR TYPE___________________________________________________________Name (First) (Last)___________________________________________________________Academic Degree___________________________________________________________Medical Specialty___________________________________________________________Affiliation (Hospital, Office, or Company)___________________________________________________________Address ( K affiliation K home)___________________________________________________________City State Zip___________________________________________________________Phone Fax___________________________________________________________E-mailBreakout Session Preference (Please Check One)K General Cardiology K Associated Professionals K Advanced EPRegistration Fees(pre-payment is required to be officially registered)K $120 PhysiciansK $120 Biomedical, Pharmaceutical or Medical Device Industry EmployeesK $100 Residents, Fellows, and Allied Health ProfessionalsK $100 UPHS Physicians (with valid ID)K $60 UPHS Residents, Fellows, and Allied Health Professionals (with valid ID)K $60 Penn Students (with valid ID)Penn Medical ID # ______________________________________K $60 Retired PhysiciansPayment MethodMake check payable to: Trustees of the University of Pennsylvania/CMEK Visa K MasterCard K Discover K American Express___________________________________________________________Authorization Signature___________________________________________________________Cardholder Name___________________________________________________________Card # Exp. Date Security CodePlease Note: Walk-in registrants must bring payment to the program.Seating may be limited for walk-in registrants.
  10. 10. Non-Profit Org. U.S. Postage PA I D Permit No. 2563 Phila., PA 19104333 Blockley Hall | 423 Guardian DrivePhiladelphia, Pennsylvania 19104-6021PHONE: 215-898-9800 FAX: 215-898-1888 20th Annual State-of-the-Art Arrhythmia Symposium ARRHYTHMIA DIAGNOSIS AND TREATMENT STANDARDS 2012 A CME-certified Course Monday, September 10, 2012 Hyatt Regency Philadelphia at Penn’s Landing 201 S. Christopher Columbus Blvd. Philadelphia, PA 19106